Organization Active NPI

Julius M. Kong, D.D.S., Inc.

  • Dental Clinic/Center
  • Watsonville, CA
National Provider Identifier
1063583490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
51094 Issued in CA
Legal business name
JULIUS M. KONG, D.D.S., INC.
Practice address
520 E Lake Ave
Watsonville, CA 95076-4427
Phone
(831) 724-4182
Fax
(831) 724-3996
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Julius Ming-Cheng Kong, D.D.S.
Title
President
Phone
(831) 724-4182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 51094 CA Primary

Addresses

Primary practice location

520 E Lake Ave
Watsonville, CA 95076-4427

Mailing address

520 E Lake Ave
Watsonville, CA 95076-4427
Phone (831) 724-4182

National Provider Directory

National Provider Directory

Locations

520 E Lake Ave
Watsonville, CA 95076
Phone (831) 724-4182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063583490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764427",
            "telephone_number": "831-724-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764427",
            "telephone_number": "831-724-4182",
            "fax_number": "831-724-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIUS M. KONG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "MING-CHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-724-4182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.